*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.86 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 68,646 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system in DRG | 4.46 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 2.45 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 9.14 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 3.28 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $783,689,835 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $4,657 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $11,416 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $4,244,517,795 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $61,832 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 0.03 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 21.46 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 31.51 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 28,367 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system in DRG | 1.85 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 3.77 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 23.95 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 18.46 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $163,681,750 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $1,529 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $5,770 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $728,626,967 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $25,686 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 0.62 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 11.96 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 54.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 21,182 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system in DRG | 1.38 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 4.05 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 16.53 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 11.91 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $131,259,482 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $1,531 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $6,197 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $657,236,170 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $31,028 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 0.81 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 14.36 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 56.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 313: CHEST PAIN | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 221,460 | ||||
| Total Hospitalizations with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 18,861 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system in DRG | 1.23 | ||||
| Avg LOS at DRG | 2.1 | ||||
| Avg LOS with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 2.02 | ||||
| Readmission Rate at DRG | 11.15 | ||||
| Readmission Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 10.42 | ||||
| Unplanned Readmission Rate at DRG | 7.88 | ||||
| Unplanned Readmission Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 7.47 | ||||
| Total Medicare payments at DRG | $635,922,710 | ||||
| Total Medicare payments with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $49,924,976 | ||||
| Total Medicare payment per Day at DRG | $1,367 | ||||
| Total Medicare payment per Day with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $1,307 | ||||
| Total Medicare payment per Hospitalization at DRG | $2,872 | ||||
| Total Medicare payment per Hospitalization with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $2,647 | ||||
| Total Medicare Charges at DRG | $4,179,979,444 | ||||
| Total Medicare Charges with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $335,367,207 | ||||
| Avg Charges at DRG | $18,875 | ||||
| Avg Charges with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | $17,781 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 0.09 | ||||
| SNF Discharge Rate at DRG | 4.01 | ||||
| SNF Discharge Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 2.03 | ||||
| Home Discharge Rate at DRG | 82.23 | ||||
| Home Discharge Rate with ICD Z8249 - Family history of ischemic heart disease and other diseases of the circulatory system | 87.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 11,893 |
| UNIVERSITY OF NEBRASKA MEDICAL CENTER | 987400 NEBRASKA MEDICAL CTR | OMAHA | NE | 68198 | 9,160 |
| ST. DOMINIC-JACKSON MEMORIAL HOSPITAL | 969 LAKELAND DR | JACKSON | MS | 39216 | 9,099 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 772 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 558 |
| Dr. JAPHET G JOSEPH | 714 S TRUMBULL ST | BAY CITY | MI | 48708 | 378 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 2,239 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 741 |
| Dr. NURUDEEN SHEKONI | 5160 GALAXIE DR | JACKSON | MS | 39206 | 720 |